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Application Form

Ayush Dutta has submitted an application to update his Aadhaar information. He is scheduled for a mandatory biometric update appointment on November 5th, 2023 at 10:10 AM at the Aadhaar Seva Kendra in Kolkata. The update will include his name, mobile number, email, and biometrics (photo, fingerprints, and iris). He has agreed to the terms for updating his information in the Aadhaar database.

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adatta546
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0% found this document useful (0 votes)
100 views

Application Form

Ayush Dutta has submitted an application to update his Aadhaar information. He is scheduled for a mandatory biometric update appointment on November 5th, 2023 at 10:10 AM at the Aadhaar Seva Kendra in Kolkata. The update will include his name, mobile number, email, and biometrics (photo, fingerprints, and iris). He has agreed to the terms for updating his information in the Aadhaar database.

Uploaded by

adatta546
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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11/4/23, 2:29 PM about:blank

AADHAAR UPDATE FORM

भारतीय विशिष्ट पहचान प्राधिकरण भारत सरकार


Under Section 3 of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND
SERVICES) ACT,2016 (Aadhaar Act)
Application Type :
Submission Date : 04-11-2023 Aadhaar Number : 435875631831
UPDATE
Fields to be updated in [Name, Mobile, Email, Biometric(photo/fingerprint/Iris)]*
Aadhaar:
*Only fields mentioned here will be updated at ASK center.
Applicant Details Appointment Details

Resident Type: RESIDENT


Full Name: AYUSH DUTTA
New Full Name: AYUSH DATTA
Email [email protected]
Mobile Number: 8420083074
Documents to Carry:

Bring original documents for Enrolment/Update.


No photocopy required. Appointment Id: 1699088028962
Original documents are scanned and given back to Aadhaar Seva
you.
Asyst Park, Salt Lake, Sector-v,
Kendra Address:
Block GN-37/1, Kolkata-700091
Appointment Date
Proof of identity: 05-11-2023 (10:10)
and Time:
Mark sheet/ Certificate issued by recognized Board of
Service Type: Mandatory Biometric Update With Paid
Education/ University
( Name, Mobile, Email,
Biometric(photo/fingerprint/Iris) )
Payment Type: Online
Payment Status: Success
Disclosure under section 3(2) of THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND
OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016

I confirm that I have been residing in India for at least 182 days in the preceding 12 months / I am Non Resident Indian (NRI) &
information (including biometrics) provided by me to the UIDAI is my own and is true, correct and accurate. I am aware that my
information including biometrics will be used for generation of Aadhaar and authentication. I understand that my identity
information (except core biometric) may be provided to an agency only with my consent during authentication or as per the
provisions of the Aadhaar Act. I have a right to access my identity information (except core biometrics) following the procedure
laid down by UIDAI.

Verifier's Stamp and Signature Applicant's Signature/Thumbprint


(Verifier must put her/his name if stamp is not avaliable.)

Note: In case of Child(< 5 Yrs) or Guardian based application, Guardian/Relative will be required to accompany the
applicant. In case of incapacitated person, the signature will be done by Legal Guardian of Incapacitated Person.

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